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Rappers

U.S.A. AND AROUND THE WORLD

Outside U.S. (including Canada) Please Print This Page and send it with a money order or check in U.S. funds to the address below, filled out to Von Correia @ platinumlooks.com  You must add $12.00 for shipping and handling.

 U.S. Only!  If you are sending a money order, check/cash, please print this page and send it  to the address below, filled out to: Platinumlooks.com

 Don't forget your address!!!  Orders received without addresses can not be shipped.

FILL IN THE WHITE BOXES BELOW

Pricing

Description

Item#

 Qty Price

U.S. Shipping

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************************

 U.S.$6.00
Foreign Shipping

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Foreign$12.00
Total

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Information Request Form

Select the items that apply, and then let us know how to contact you.

Secure Credit Card
Mail in credit card information/Cash/check/money order
I will E-mail Credit card information with my order

Name
Title
Company
Address
E-mail
Phone

Contact Information

Telephone
323 757-9575
FAX
559 456-9711
Platinum Look
P.0. Box 91606 Hollywood, CA 90028
E-mail
valonte2003@prodigy.net
 

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